DEBORAH S BASH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****36

NOT RENEWED

N

DEBORAH S

BASH

MD

DEBORAH S BASH MD

06/08/1989

06/08/1989

07/31/1993

SPRINGFIELD

IL

62702

SANGAMON

II III IV V

N

09/26/2006